Marginalized people have little control over their lives which makes them handicap in delving contribution to society. They are prevented from participating in local life, which in turn leads to further isolation. It has a tremendous impact on development of human life, as well as on society at large. In this paper, we have systematically reviewed the scientific literature on marginalization, its nature, types of marginalization, marginalized groups and then we have focused on one marginalized group who suffer from HIV/AIDS related stigma. We have highlighted promising strategies to address stigma related issues. We have focused on the following key challenges: defining and reducing HIV/AIDS related stigma as well as assessing the impact of stigma on the effectiveness of HIV prevention and treatment programs. Based on the literature and personal observation we have concluded by offering a set of recommendations that may represent important next steps that how can we bring this marginalized group into national stream through communication.

1. IOSR Journal Of Humanities And Social Science (IOSR-JHSS)
Volume 20, Issue 1, Ver. 1 (Jan. 2015), PP 78-82
e-ISSN: 2279-0837, p-ISSN: 2279-0845.
www.iosrjournals.org
DOI: 10.9790/0837-20117882 www.iosrjournals.org 78 | Page
Bringing Marginalized Population Intonational Stream.
Dr. Khalid Iraqi
Dean Faculty of Management Sciences, University of Karachi, Karachi, Pakistan
Abstract: Marginalized people have little control over their lives which makes them handicap in delving
contribution to society. They are prevented from participating in local life, which in turn leads to further
isolation. It has a tremendous impact on development of human life, as well as on society at large. In this paper,
we have systematically reviewed the scientific literature on marginalization, its nature, types of marginalization,
marginalized groups and then we have focused on one marginalized group who suffer from HIV/AIDS related
stigma. We have highlighted promising strategies to address stigma related issues. We have focused on the
following key challenges: defining and reducing HIV/AIDS related stigma as well as assessing the impact of
stigma on the effectiveness of HIV prevention and treatment programs. Based on the literature and personal
observation we have concluded by offering a set of recommendations that may represent important next steps
that how can we bring this marginalized group into national stream through communication.
I. Introduction
The term 'marginalization' describes the overt actions or tendencies of human societies, where people
who they perceive to objectionable or without useful function are excluded, i.e., marginalized. The people who
are marginalized are outside the existing systems of protection and integration. This limits their opportunities
and means for survival. The term has been defined in the different ways:
Merriam-Webster's online dictionary defines the term, marginalize , is "to consign to an insignificant,
or powerless position within a society or group".Laitin describes that marginality is demeaning for economic
growth, human dignity and for physical security. Marginalized people face irrevocable discrimination by
members of dominant society.These definitions are mentioned in different contexts, and show that
marginalization is a slippery and multilayered concept. To further clarify the meaning and concept we will
discuss certain features of marginalization.
Sometimes, whole societies can be marginalized at national and global levels, while classes and
communities can be marginalized from the dominant social order within the local level. In some other contexts,
the same community can be marginalized in certain country (Jews in Germany or Russia) whereas they are not
marginalized in another country (Jews in the U.S.A.).
Marginalization also increases or decreases at certain stages of life cycle. For example, the
marginalized status of children and youth may decrease as they get older; the marginalized status of adults may
increase as they become older; the marginalized status of single mother may change as their children grow up.
Individuals or groups might enjoy high social status at some point of time, but as social change takes place, they
may lose this status and become marginalized.
Thus, marginalization is a complex as well as shifting phenomenon linked to social status. The purpose
of this paper is to describe marginalization and to propose a new conceptual framework to help inform thinking
about the processes of stigma & discrimination, about the way these processes relate to HIV/AIDS, and about
potential interventions to address stigma & discrimination and minimize their impact through communication.
To do this, the paper: i. describes the nature and types of marginalization. ii. Defines marginalized groups. iii.
Analyzes the sources of Stigma & Discrimination and, its consequences. iv. Proposes an agenda for bringing
this marginalized group into national stream through communication.
Nature of Marginalization
Marginalization is a multidimensional, multi causal, historical phenomenon. There are no general laws
to understand and comprehend the complex nature of marginalization. The analytical tools that can be used in
most cases include class, in relation to specific social, cultural, economic and political conditions, as well as
ideological systems, social awareness, and human action. The nature of marginalization varies in different
settings for example, the marginalization of women in India is not the same as Iraq, though they broadly share
some features. The religious, ideological system, political economy of a country, and the overall social system
have an impact on the marginalization of specific groups or an individual.

2. Bringing Marginalized Population Intonational Stream.
DOI: 10.9790/0837-20117882 www.iosrjournals.org 79 | Page
Types of marginalization
To be marginalized is to be distanced from power and resources that enable self determination in
economic, political and social settings. Though there are various types of marginalization, we identify some
broad types, such as social, economic, and political marginalization. Those who are socially marginalized are
deprived from social opportunities. They are stigmatized and often receive negative public attitude which
creates social isolation. Economic marginalization relates to economic structure which directly or indirectly
affects people‟s well being and health where as political marginalization doesn‟t allow people to participate in
decision making.
Marginalized groups
In this section we will discussed about the most vulnerable marginalized groups in almost every
society. i. Marginalization is one of the manifestations of gender inequality or gender identity. In every culture
and country women are always marginalized relative to men. Eunuchs are also marginalized. ii. People with
certain disabilities (mentally or physically handicap) / diseases (HIV/AIDS, Leprosy and TB) suffer from biased
assumptions which left them in a severe state of impoverishment for centuries. iii. Ethnic and religious
minorities are also marginalized in terms of social status, education, employment, wealth and political power.
Discrimination against these groups takes place in terms of physical, psychological, emotional and
cultural abuse. All these factors affect their physical and psychological well being and their quality of life.
As we discussed above that there are many marginalized groups but in this paper we will discussed
about HIV/AIDS related marginalized group and stigma and discrimination which is associated with this disease
and how it can be resolved.
HIV/AIDS related stigma and discrimination
HIV-related stigma and discrimination have been acknowledged as an hindrance to mitigating the HIV
epidemic since its early days, yet programming and activities to reduce stigma and discrimination have been
given much less attention than other aspects of the epidemic. Fortunately, in recent years there has been an
increase in the literature on HIV stigma as the issue has gained visibility and greater conceptual clarity and as
means to measure stigma have been refined. Despite international efforts to tackle HIV/AIDS since then, stigma
and discrimination remain among the most poorly understood aspects of the epidemic. Peter piot, executive
director of UNAIDS In 2000, identified stigma as a “continuing challenge” that prevents rigorous action at
community, national, and global levels.
Analyzing Stigma and discrimination
The sociologist Erving Goffman (1963) defined stigma as a “significantly discrediting” attribute
possessed by a person with an “undesired difference”. Stigma is a powerful means of social control applied by
marginalizing, excluding and exercising power over individuals who display certain traits. It is a common
response to perceived threat when escape from, or the destruction of, this threat is impossible. While the societal
rejection of certain social groups (e.g. “homosexuals”, injecting drug users, sex workers and migrants) may
predate HIV/AIDS, the disease has, in many cases, reinforced this stigmatization. McGrath (1992) stated that
“by attributing blame to specific individuals and groups, society can absolve itself from the responsibility of
caring for and looking after such populations”. To analyze stigma and discrimination it is essential to understand
its sources.
Sources of HIV/AIDS stigma and discrimination
De Bruyn has identified five factors as contributing to HIV/AIDS-related stigma:
The fact that HIV/AIDS is a life-threatening disease; the fact that people are afraid of contracting HIV;
the disease‟s association with behaviors (such as sex between men and injecting drug use) that are already
stigmatized in many societies; the fact that people living with HIV/AIDS are often thought of as being
responsible for having contracted the disease; religious or moral beliefs that lead some people to conclude that
having HIV/AIDS is the result of a moral fault (such as promiscuity or “deviant” sex) that deserves punishment.
From early in the AIDS epidemic, a series of powerful metaphors was mobilized which serve to
reinforce and legitimate stigmatization. These include HIV/AIDS as death (e.g. through imagery such as the
Grim Reaper); HIV/AIDS as punishment (e.g. for immoral behavior); HIV/AIDS as a crime (e.g. in relation to
innocent and guilty victims); HIV/AIDS as war (e.g. in relation to a virus which needs to be fought); HIV/AIDS
as horror (in which infected people are demonized and feared); and HIV/AIDS as “otherness” (in which the
disease is an affliction of those set apart). (Omangi, 1997) has found, “ it is widespread belief that HIV/AIDS is
shameful” , these metaphors constitute a series of “ready-made” but highly inaccurate explanations that provide
a powerful basis for both stigmatizing and discriminatory responses. These stereotypes also enable some people
to deny that they personally are likely to be infected or affected.

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People living with HIV/AIDS are seen as ignominious in many societies. Where the infection is
associated with minority groups and behaviors (for example, homosexuality), HIV/AIDS may be linked to
“perversion” and those infected punished (Mejia, 1988). (Kegeles et al., 1989) are of that “ in individualistic
societies, HIV/AIDS may be seen as the result of personal irresponsibility”. In some circumstances, HIV/AIDS
is considered as a reason for bringing shame upon the family and community (Panos, 1990; Warwick et al.,
1998). The manner in which people respond to HIV/AIDS therefore varies with the ideas and resources that
society makes available to them. (Warwick et al., 1998) have come with the view, “While negative responses to
HIV/AIDS are by no means inevitable, they not infrequently feed upon and reinforce dominant ideologies of
good and bad with respect to sex and illness, and proper and improper behaviors”.
Sexuality
HIV/AIDS-related S&D are most closely related to sexual stigma. This is because HIV is mainly
sexually transmitted and in most areas of the world, the epidemic initially affected populations whose sexual
practices or identities are different from the “norm.” HIV/AIDS-related S&D has now appropriated and
reinforced pre-existing sexual stigma related with sexually transferable diseases, promiscuity, homosexuality
prostitution, and sexual “deviance” (Gagnon and Simon 1973; Plummer 1975; Weeks 1981). The belief that
homosexuals are to blame for the epidemic or that homosexuals are the only group at risk of HIV is still
common. Promiscuous sexual behavior by women is also commonly believed to be responsible for the
heterosexual epidemic, regardless of the epidemiological reality. (Parker and Galvão 1996) maintained that “ In
Brazil, for example, where surveillance data have shown high rates of HIV infection among monogamous
married women, HIV-positive women are still widely perceived to be sexually promiscuous”.
Gender
HIV/AIDS-related S&D are also linked to gender-related stigma. Aggleton and Warwick (1999)
observed that, “The impact of HIV/AIDS-related S&D on women reinforces pre-existing economic, educational,
cultural, and social disadvantages and unequal access to information and services”. In settings where
heterosexual transmission is significant, the spread of HIV infection has been associated with female sexual
behavior that is not consistent with gender norms. For example, prostitution is widely perceived as non-
normative female behavior, and female sex workers are often identified as “vectors” of infection who put at risk
their clients and their clients‟ sexual partners. Equally, in many settings, men are blamed for heterosexual
transmission, because of assumptions about male sexual behavior, such as men‟s preference or need for multiple
sexual partners.
Race, ethnicity and class
Racial and ethnic stigma & discrimination also interact with HIV/AIDS related stigma &
discrimination, and the epidemic has been characterized both by racist assumptions about “African sexuality”
and by perceptions in the developing world of the West‟s “immoral behavior.” Racial and ethnic S&D
contribute to the marginalization of minority population groups, increasing their vulnerability to HIV/AIDS,
which in turn exacerbates stigmatization and discrimination. New forms of social exclusion associated with
these global changes have reinforced pre-existing social inequalities and stigmatization of the poor, homeless,
landless, and jobless. As a result, poverty increases vulnerability to HIV/AIDS, and HIV/AIDS exacerbates
poverty (Parker, Easton, and Klein 2000). HIV/AIDS-related S&D interacts with pre-existing S&D associated
with economic marginalization. In some contexts, the epidemic has been characterized by assumptions about the
rich, and HIV/AIDS has been associated with affluent lifestyles.
Thus, we can infer that, stigmatization is a process that involves identifying differences between groups
of people, and using these differences to determine which groups fit into structures of power. Stigma and
discrimination are used or can be used to produce and reproduce social inequality. Stigmatization, therefore, not
only helps to create difference in society but also plays a key role in transforming difference based on sexuality,
gender, race, ethnicity or class in to social inequality.
Fear of contagion and disease
HIV/AIDS is a life-threatening illness that people are afraid of contracting. (UNAIDS 2000; Malcolm
et al. 1998; Daniel and Parker 1993) have found the following:
The various metaphors associated with AIDS have also contributed to the perception of HIV/AIDS as a
disease that affects “others,” especially those who are already stigmatized because of their sexual behavior,
gender, race, or socioeconomic status, and have enabled some people to deny that they personally could be at
risk or affected.
HIV/AIDS-related S&D is, therefore, the result of interaction between diverse pre-existing sources of
S&D and fear of contagion and disease. The pre-existing sources, such as those related to gender, sexuality, and

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class, often overlap and reinforce one another. This interaction has contributed to the deep-rooted nature of
HIV/AIDS-related S&D, limiting our ability to develop effective responses. It has also created a vicious circle
of S&D which works in two ways.(i) HIV/AIDS is associated with marginalized behaviors, and people living
with HIV/AIDS (PLHA) are stigmatized because they are assumed to be from marginalized groups. (ii) Already
marginalized groups are further marginalized because they are assumed to have HIV/AIDS.
Thus, stigmatization is a process that involves identifying differences between groups of people based
on sexuality, gender, race, ethnicity or class in to social inequality. Now we will examine consequences of
stigma and discrimination.
Consequences of stigma and discrimination
Individual
Daniel and Parker (1993) noticed that “in contexts where HIV/AIDS is highly stigmatized, fear of
HIV/AIDS-related S&D may cause individuals to isolate themselves to the extent that they no longer feel part of
civil society and are unable to gain access the services and support they need “. This has been called internalized
stigma. In some cases, premature death through suicide is commonplace. A fear of negative and hostile
reaction from other is lingering threat for individuals who are already marginalized, reflecting the interaction
between HIV/AIDS-related and pre-existing sources of Stigma & discrimination.
Family
The family is the main source of care and support for PLHA in most developing countries. However,
negative family responses are common. “Infected individuals often experience S&D in the home, and women
are often more likely to be badly treated than men or children “(Bharat and Aggleton 1999). Women, suffering
from HIV/AIDS, are faced with the negative community and family responses including blame, rejection, and
loss of children and home. (Panos 1990; Misra 1999; Mpundu 1999; Mujeeb 1999) have found, “since
HIV/AIDS-related S&D reinforce and interact with pre-existing S&D, families may reject PLHA not only
because of their HIV status but also because HIV/AIDS is associated with promiscuity, homosexuality, and drug
use”. HIV/AIDS-related S&D in families and communities is commonly manifested in the form of blame, scape
goating, and punishment. Communities often shun or gossip about those perceived to have HIV or AIDS. It has
turned into form of violence in some extreme cases; for example, some reports have come into sight about the
physical assault on the men who are supposed to be gay.
Society
Kegeles et al. (1989) are of the view that cultural systems of the societies place greater emphasis on
individuals : hence HIV/AIDS is taken as a result of self irresponsibility, so the individuals are charged for
prone to infection . On the contrary, societies where cultural systems place greater weight on collectivism,
HIV/AIDS is regarded as reason for ignominy on the family and community (Panos 1990; Warwick et al. 1998).
The type of cultural system will therefore define the ways in which communities respond to HIV/AIDS and the
ways in which S&D are manifested.
Bringing this marginalized population into national stream through communication
Isolated and marginalized groups face particular constraints with regard to access to information and
communication, and thus have limited participation and voice in the public sphere and in decision-making
processes affecting their lives. They belong to the culture of silence. They are on the wrong side of the digital
divide, unable to participate in the Information Society and thus risk further marginalization, politically, socially
and economically.
Communication as process
The Challenge for Change Program‟s work with the Fogo Islanders in the 1960s has often been seen as
a turning point in the development of participatory communication processes. The Fogo Process was one of the
first examples of filmmaking and video as a process to obtain social change in a disadvantaged community. It
included a series of working practices that have influenced many participatory communication programs
throughout the world and that are still very valid. Key ingredients included: (i) Communication as a process for
empowerment, for conflict resolution, and to negotiate with decision makers to modify policy. (ii)
Communication technology and media only as tools to facilitate the process. (iii) Programms planned and
produced with and by the marginalized themselves, about their social problems, and not just produced by
outsiders. (iv)The professional quality of the product becomes secondary to content and process. (v) The
importance of interpersonal communication and the role of a facilitator, a community worker or a social
animator. (vi) Community input into the editing of the material, and dialogue with decision makers.
“The Fogo Process provides evidence of how local communities who have been marginalized by

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DOI: 10.9790/0837-20117882 www.iosrjournals.org 82 | Page
economic and political structures can become empowered through communication to transform conditions of
uneven development”. (Crocker, 2003).
Fogo is one of the best example which can be utilized with HIV/AIDS people and through which we
can help this marginalized population to get out of trouble and play a productive role in socity.
II. Conclusion
Marginalization is a complex phenomenon which is link to social status. Marginalized people are
largely deprived of social opportunities. There are several marginalized groups and people living with
HIV/AIDS also one of them. HIV/AIDS related stigma and discrimination is considered a major barrier to
effective responses to the HIV epidemic. Yet, there is little or no consensus among policy makers and
intervention program implementers about how to define measure and diminish this phenomenon. This paper
argues that we need a new way of understanding about stigma related intervention programs and through
communication we can bring marginalized population into national stream.
For marginalized communities, increased community empowerment through access to information,
improved networking and opportunities for women, access to medical information for isolated communities and
new employment opportunities are only a few of the examples that have bolstered the belief that these
technologies have a key role to play in the development of these communities.While the work described in this
paper doesn‟t claim to offer the last word on the above mentioned matters, it does highlight a series of practical
steps that can be taken in programming, policy and research.
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